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1104659630
DIANE BRADFORD BOLSTER
MOORESVILLE, NC
NPI
1104659630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC PO21183)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
DIANE BRADFORD BOLSTER MSW, LCSWA
121 ROLLING HILL RD STE 225
MOORESVILLE, NC 28117-8861
Phone number: 704-737-2109
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Mailing Address
DIANE BRADFORD BOLSTER MSW, LCSWA
121 ROLLING HILL RD STE 225
MOORESVILLE, NC 28117-8861
Phone number: 704-737-2109
Copy
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